NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)
Umbrella category for structural brain or spinal cord malformations present from birth (e.g. neural tube defects, hydrocephalus, cerebral malformations); the GP's role is early recognition and referral to paediatric neurology/neurosurgery, since management is specialist and often surgical. - Refer, with advice
Children follow the same pathway: recognise and refer. No primary-care medicine is implied.
No dose - referral pathway, no medicine given in primary care
Umbrella category for structural brain or spinal cord malformations present from birth (e.g. neural tube defects, hydrocephalus, cerebral malformations); the GP's role is early recognition and referral to paediatric neurology/neurosurgery, since management is specialist and often surgical.
- No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
- RED FLAG - Abnormal head size or shape in an infant, developmental delay or regression, or signs of raised intracranial pressure such as a bulging fontanelle or sunsetting eyes: refer urgently.